Date: 18 June 1944
Cert: 13015
Place of Death: County: Knott City or
Town: Cordia (rural)
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Cordia (rural)
Full Name: William McKinley SMITH
If Veteran Name War: World War I
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Carrie S. SMITH
Age of husband or wife if alive: 41 years
Birth date of deceased: 03 March 1897
Age: 47 years, 03 months, 15 days
Birthplace: Cordia, Kentucky
Occupation: Farming; Timber work
Industry or business: (blank)
Father Name: Alex SMITH
Father Birthplace: Cordia, Kentucky
Mother Maiden Name: Nancy STACY
Mother Birthplace: Cordia, Kentucky
Informant: Carrie S. SMITH, Cordia, Kentucky
Burial Place: Cordia, Ky.
Date: 19 June 1944
Signature of funeral director: Austin Combs, Diablock,
Kentucky
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 18 June 1944
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Found dead. Cause of
death unknown. No physician in attendance.
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. W. Duke, M.D., Hindman,
Kentucky
Date signed: 16 March 1945
Transcribed by Debbie Tamborski, 24 November 2010 |